Izvorni znanstveni članak

https://doi.org/10.20471/acc.2016.55.04.03

The resident surgeon phacoemulsification learning curve at Clinical Department of Ophthalmology, Sestre milosrdnice University Hospital Center

Valentina Lacmanović Lončar ; Clinical Department of Ophthalmology and Optometry, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Rašeljka Tadić ; Clinical Department of Ophthalmology and Optometry, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Lana Dujmović ; Clinical Department of Ophthalmology and Optometry, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Lana Knežević ; Dr Tomislav Bardek General Hospital, Koprivnica, Croatia
Ana Koluder ; Nova Gradiška General Hospital, Nova Gradiška, Croatia
Marta Vidović ; Nova Gradiška General Hospital, Nova Gradiška, Croatia
Iva Krolo ; Clinical Department of Ophthalmology and Optometry, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Željko Kaurić ; Dr Ivo Pedišić general Hospital, Sisak, Croatia
Vanda Gašpar Mitrečić ; Karlovac General Hospital, Karlovac, Croatia
Ivanka Petric Vicković ; Clinical Department of Ophthalmology and Optometry, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Renata Iveković ; Clinical Department of Ophthalmology and Optometry, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Zoran Vatavuk ; Clinical Department of Ophthalmology and Optometry, Sestre milosrdnice University Hospital Center, Zagreb, Croatia

Sažetak

The aim of the study was to analyze the resident learning process of phacoemulsification cataract surgery and to assess the resident phacoemulsification learning curve. This prospective study comprised 86 consecutive cases of phacoemulsification performed using standard technique by eight residents over a one-year period at Clinical Department of Ophthalmology, Sestre milosrdnice University Hospital Center in Zagreb. Operative data on each case included resident and attending surgeon, date of operation, step-by-step success questionnaire, and intraoperative complications. Postoperative data included visual acuity at one-month postoperative visit and postoperative complications. Eighty-six operations were performed under the supervision of attending surgeon. The mean best-corrected visual acuity improved from 0.47±0.25 to 0.8±0.25 postoperatively. Intraoperative complications occurred in 13 (15.12%) cases and continued to decrease throughout residency training. The mean number of individually performed steps per operation increased throughout residency (from 7.6 to 9.0). There was one early postoperative complication, endophthalmitis, which was successfully
treated, and no other postoperative complications occurred. Resident surgical competency can be improved by maximizing the number of cataract procedures since the complication rates and the number of individually performed steps improved continuously with increasing surgical experience.

Ključne riječi

Cataract surgery; Resident learning curve; Phacoemulsification; Posterior capsular tear; Intraoperative complications

Hrčak ID:

177932

URI

https://hrcak.srce.hr/177932

Datum izdavanja:

15.12.2016.

Podaci na drugim jezicima: hrvatski

Posjeta: 3.565 *